动脉、经动脉门脉血管造影CT及碘油CT联合诊治肝脏占位性病变应用探讨

Clinical experience on diagnosis and treatment for 10 cases of hepatic space-occupying lesion with CTA,CTAP and lipiodol CT

目的探讨动脉、经动脉门脉血管造影CT(CTA、CTAP)及碘油CT联合应用对肝占位性病变定性诊断及指导治疗的意义。方法采用Seldinger技术对10例患者,联合应用CTA、CTAP及碘油CT三种技术进行检查。结果确诊7例以往诊断不明者;指导3例行外科及介入治疗,发现转移性病变1例。结论联合应用CTA、CTAP及碘油CT对肝占位性病变定性诊断及指导肝癌患者的外科手术治疗及介入治疗具有重要价值。

Objective To investigate the significance of qualitative diagnosis and guidance on treatment for hepatic space-occupying lesion with combined use of CTA, CTAP and lipiodol CT, thus discuss some related questions. Methods By Seldinger technique, 10 patients were examined with combined uae of CTA, CTAP and lipiodol CT. Results 7 undiagnosed cases were given definite diagnosis through CTA, CTAP and lipiodol CT, 3 cases were guided to surgery and intervention therapy and 1 case was detected metastatic sites in time. Conclusion Combined use of CTA, CTAP and lipiodol CT has important significance for the qualitative diagnosis of hepatic space-occupying lesion, and has important value in guidance on surgery and intervention therapy for the patients with hepatic carcinoma.